Template

Device Audit - CAUTI Prevention

by Margarita Silva, from the Community

This device audit template helps healthcare teams prevent catheter associated urinary tract infection by standardizing checks across insertion, daily maintenance, and timely removal. Assess aseptic technique, securement, closed drainage integrity, unobstructed urine flow, bag positioning, and fullness limits. Verify documentation for orders, indications, daily justification, CHG bathing, peri catheter care, and patient education. Use it to monitor staff compliance, capture observations at the bedside, and support infection control programs in hospitals, clinics, and long term care settings.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
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This hospital audit checklist supports urinary catheter care and CAUTI prevention. It captures patient MRN, admission date, catheter insertion date, culture date and results, and verifies bundle compliance per shift. Items include baseline culture completion, securement of catheter, unobstructed drainage, regular emptying into a clean container, keeping the collection bag below bladder level, and ensuring the bag is never on the floor. Designed for nurses and infection control teams to standardize monitoring across multiple patients and reduce catheter-associated infections.
by Inn Ymedaca, from the Community
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Template
Foley Catheter Maintenance Assessment
This Foley catheter maintenance assessment helps clinical teams verify daily catheter necessity and safe care practices. It covers reasons for catheterization, catheter type, securement, tubing positioning, drainage bag placement, labeling, and insertion details across units such as ED, OR, ICU, and medical surgical wards. Use it to standardize checks, document Foley days, and reduce catheter associated infection risk through consistent observation and documentation.
by Jarrod Stahl, from the Community
Downloads: 10+
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Template
2022 Infection Control Clinical Audit Checklist
This 2022 Infection Control Clinical Audit checklist helps hospitals and clinical units assess compliance with infection prevention practices. It covers hand hygiene facilities and technique, proper use of personal protective equipment, environmental cleanliness, patient equipment care and disinfection, linen handling, clinical and general waste management, spill response, sharps handling and disposal, and maintenance of medical equipment. It also includes checks for medical refrigerator management, urinary catheter care and IV line practices, and alignment with current infection control policies and guidelines. Use it to standardize audits across departments such as haemodialysis and emergency care and to document corrective actions.
by Siti Rohaiya Mohd Mohiadin, from the Community
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Template
Hemodialysis Catheter Exit Site Care and Maintenance
Use this checklist to guide safe, aseptic care of hemodialysis catheter exit sites. It covers patient identification, PPE, hand hygiene, sterile field setup, CHG or povidone iodine skin prep, dressing application, and documentation. Step by step sections outline connection and disconnection procedures, flushing, patency checks, needleless connector changes, and waste disposal. Emphasis is placed on infection prevention, correct technique, and recording care delivered.
by Margarita Silva, from the Community
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Device Audit - CAUTI Prevention

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Urinary Catheter Care Audit (NNI QT-IFC)

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